Frequency and correlates of anxiety symptoms during the COVID-19 pandemic in low- and middle-income countries: A multinational study.
Frequency and correlates of anxiety symptoms during the COVID-19 pandemic in low- and middle-income countries: A multinational study.
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低收入和中等收入国家 COVID-19 大流行期间焦虑症状的频率和相关性：一项跨国研究。
DOI：
10.1016/j.jpsychires.2020.09.031
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发表时间：
2021-01
影响因子：
4.8
通讯作者：
Rousseau C
中科院分区：
文献类型：
--
作者：
Cénat JM;Dalexis RD;Guerrier M;Noorishad PG;Derivois D;Bukaka J;Birangui JP;Adansikou K;Clorméus LA;Kokou-Kpolou CK;Ndengeyingoma A;Sezibera V;Auguste RE;Rousseau C
研究已经记录了许多国家2019冠状病毒病（COVID-19）的重大直接和间接心理，社会和经济后果，但对其在低收入和中等收入国家（LMIC）的影响知之甚少，这些国家已经面临困难的生活条件，并且卫生系统脆弱，在受影响的人群中造成焦虑。本研究使用来自四个LMIC（DR刚果、海地、卢旺达和多哥）的跨国便利样本，旨在探索COVID-19大流行期间焦虑症状的流行率以及相关的风险和保护因素。共有1267人（40.8%的女性）完成了一份问卷调查，评估了与COVID-19相关的暴露和污名化、焦虑和韧性。进行分析，以检查焦虑的患病率和预测因素。结果显示合并患病率为24.3%（多哥、海地、刚果民主共和国和卢旺达分别为9.4%、29.2%、28.5%和16.5%，x2 = 32.6，p <0.0001）。对于汇总数据，暴露于COVID-19（β = 0.06，p = 0.005），与COVID-19相关的污名化（β = 0.03，p <0.001）和弹性（β =-0.06，p <0.001）有助于预测焦虑评分。在所有国家，与COVID-19相关的污名化与焦虑症状显著相关（RDC、卢旺达、海地和多哥分别为β = 0.02，p <0.00; β = 0.05，p = 0.013; β = 0.03，p = 0.021; β = 0.04，p <0.001）。调查结果强调，需要在中低收入国家的健康教育计划，以减少污名化和相关的恐惧和焦虑，并增加遵守卫生指示。需要制定基于文化和背景因素的基于力量的心理健康计划，以加强个人和社区的复原力，并解决当地生态系统的复杂性。关于COVID-19对低收入和中等收入国家的心理健康影响知之甚少。在低收入和中等收入国家，每四个人中就有一个人报告了高度焦虑。暴露于COVID-19、与COVID-19相关的污名化和韧性有助于预测焦虑。需要制定基于文化力量的心理健康计划，以加强个人和社区的复原力。
Studies have documented the significant direct and indirect psychological, social, and economic consequences of the Coronavirus disease 2019 (COVID-19) in many countries but little is known on its impact in low- and middle-income countries (LMICs) already facing difficult living conditions and having vulnerable health systems that create anxiety among the affected populations. Using a multinational convenience sample from four LMICs (DR Congo, Haiti, Rwanda, and Togo), this study aims to explore the prevalence of anxiety symptoms and associated risk and protective factors during the COVID-19 pandemic. A total of 1267 individuals (40.8% of women) completed a questionnaire assessing exposure and stigmatization related to COVID-19, anxiety, and resilience. Analyses were performed to examine the prevalence and predictors of anxiety. Findings showed a pooled prevalence of 24.3% (9.4%, 29.2%, 28.5%, and 16.5% respectively for Togo, Haiti, RDC, and Rwanda, x2 = 32.6, p < .0001). For the pooled data, exposure to COVID-19 (β = 0.06, p = .005), stigmatization related to COVID-19 (β = 0.03, p < .001), and resilience (β = −0.06, p < .001) contributed to the prediction of anxiety scores. Stigmatization related to COVID-19 was significantly associated to anxiety symptoms in all countries (β = 0.02, p < .00; β = 0.05, p = .013; β = 0.03, p = .021; β = 0.04, p < .001, respectively for the RDC, Rwanda, Haiti, and Togo). The findings highlight the need for health education programs in LMICs to decrease stigmatization and the related fears and anxieties, and increase observance of health instructions. Strength-based mental health programs based on cultural and contextual factors need to be developed to reinforce both individual and community resilience and to address the complexities of local eco-systems. Little is known on the mental health impact of the COVID-19 in low- and middle-income countries. One out of four individuals in individuals in low- and middle-income countries reported high level of anxiety. Exposure to COVID-19, stigmatization related to COVID-19 and resilience contributed in the prediction of anxiety. Cultural strength-based mental health programs need to be developed to reinforce individual and community resilience.
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